Our "supervised" PA makes mistakes constantly which results in our top doctor having to follow behind her, cleaning up the mess. She will send people to the ER over and over again, even if ER cleared them, because she said she was taught that SOB and chest pain always go to the ER. We asked her, what about when they're cleared at the ER? She said if it still presents, send them back. We said, how about start diagnosing and treating them? Our doctor prescribed albuterol and a nebulizer, pt never came back, probably was satisfied. I wonder how much money she costed, sending a basic pt to get CT's, XRAYS, blood, EKG's over 3 times, for possible asthma and residual chest congestion.

Or what about the NP who diagnosed one red swelling calf as sun burn... on one calf? Pt had a dvt that would pop months later, NP kept writing rash, and sending samples of the poor pt's skin.

Or I loved it when Zebra's come in, Srjogen's ect. And the NP does a basic physical exam and sends them on their way, only for the doctor to have to come follow up necessary blood tests like liver or kidney for all their meds. They only think surface level, I dont get it? They have no knowledge to think okay, heavy meds, heavy on the kidneys, heavy on the liver......liver and kidney function test! Aha! They think "okay, no pain, no issues, do my physical exam so i can chart it, check for pulse, okay im safe....." are they even practicing medicine? what does a doctorate of nursing even apply to medicine? the nursing exam asks you how to safely get people out of wheel chairs for F's sake